Cleckler, Randall Eugene

Cleckler, Randall Eugene is an sole proprietor health care provider with primary practice located at 300 Gault Ave S , Fort Payne AL 35968. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is his primary health care specialty. Cleckler, Randall Eugene can be contacted via phone (256) 997-9356.

Contact Information

Primary practice address
300 Gault Ave S Fort Payne AL 35968
Phone: (256) 997-9356
Fax: (256) 997-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1167C Alabama
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 1167C Alabama

Profile Details

NPI number 1922152586
LBN Legal business name Cleckler, Randall Eugene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 10th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922152586 NPPES
Alabama Other 51550439CLE BCBS OF AL PROVIDER
Alabama MEDICAID 51550439 BCBS OF AL PROVIDER

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